2018 Community Smile Award Application

School and Membership Status

Complete all fields below with your contact information and to verify current membership status. Once you select your school from the list of current active member schools in the drop down menu, the rest of the application form will appear.

Please note that your school MUST be a current active member of NJASC in order to receive this award!

School Name
*

If your school is not on this drop down list, you must register and pay for 2017-2018 membership. Please note that only PAID member schools are eligible to apply for and win NJASC awards.

Advisor Name
*FirstLast

Please enter the name of the primary advisor.

Advisor Phone
*###-###-####

Please enter the easiest phone number to reach the advisor above at, in case of any questions.

Advisor E-Mail
*

Type the e-mail address of the primary advisor named above. PLEASE DOUBLE CHECK, as the confirmation e-mail will be sent to this address!

Verify E-Mail
*

Retype the e-mail address of the primary advisor named above. PLEASE DOUBLE CHECK, as the confirmation e-mail will be sent to this address!

SERVICE ACTIVITIES

In the space below, list at least THREE and up to FIVE Community Service activities that the students of your school took part in over the past year. You may include activities conducted by any student organization in your school, not just Student Council.

Activity #1
*

Activity #2
*

Activity #3
*

Activity #4

Activity #5

SERVICE STUDENT-HOURS

In the space below, list the name of each club, activity, or organization in your school and the number of student-hours that have been contributed. Be sure to include ALL Community Service activities that students in your school have actively taken part in - not just Student Council!

To get the number of student-hours, multiply the number of students involved by the number of hours that the activity took place. For example, if 20 students spent 3 hours working at a homeless shelter, that would equal 20 x 3 = 60 student-hours.

Then add them up and enter the TOTAL number of hours for all listed activities.

EXAMPLE: Working at Homeless Shelter - 60

Activities -
Student Hours
*

To get the number of student-hours, multiply the number of students involved by the number of hours that the activity took place. For example, if 20 students spent 3 hours working at a homeless shelter, that would equal 20 x 3 = 60 student-hours.

TOTAL Number of Hours Indicated Above
*

Completing Your Form Submission

Be sure to CLICK ON THE BUTTON BELOW to submit this form! You will receive a confirmation e-mail that contains the information you submitted.